Survey Form for the Long March Project - "The Mapping of Yanchuan Paper - Cuttings"

Yanchuan County; Distict; Village

Surname	Sex			Ethnicity				Year of birth		picture
Level of Education		Spouse’s Name				# of People in Household
Mother’s Home			Family’s Primary Source of Income
Annual Income					Paper-cutting for How Many Yrs.
What year received training							Teacher
Primary Topic of Work							Other special skills
Address									Phone #
Please Describe your experience with Paper-cuttings
Have you sold, exhibited, or displayed any works?
Sample

Date: Survey Team: Completed by:

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